Bloodborne Pathogen Training for School Personnel

1
Bloodborne Pathogen Training for School
Personnel

• Knox City OBrien CISD
• Rebecca Clark, RN, BSN
• School Nurse

Courtesy of Robin Wallin, RN, MSN, Alexandria
City Schools
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Mandatory Annual Bloodborne Pathogen Training

• Reviewing this PowerPoint presentation will meet
  the bloodborne pathogen annual training
  requirement for MCISD.
• When you have reviewed the material, follow
  directions for taking the quiz at the end of the
  presentation. You just need to pring out the
  sheet you sign with your quiz selections circled.
  Questions are on slide, answer sheet on form.

3
MCISD Bloodborne Pathogens Exposure Control Plan

• MCISD has a written Bloodborne Exposure Control
  Plan which all employees can reference.
• Copies of this plan may be found in the main
  office of each school, in the nurses office at
  each school, and in the administration office

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What is a Bloodborne Disease?

• Bloodborne pathogens are germs that are found in
  the bloodstream and can cause disease in humans.
• Examples of common bloodborne diseases include
  Hepatitis B, Hepatitis C and HIV (AIDS)

5
Facts about Hepatitis

• Hepatitis B (HBV) is a virus spread by blood or
  through sexual contact. There is a vaccine for
  HBV. HBV can live on surfaces for 7-10 days.
• Hepatitis C (HCV) is spread the same way, but
  there is not a vaccine for HCV.

6
Facts about HIV

• HIV is the virus that causes Acquired Immune
  Deficiency Syndrome (AIDS). It weakens the
  bodys immune system leading to serious
  infections and diseases.
• More than 1,000,000 Americans are infected with
  the HIV virus.
• There is no cure or vaccine available at this
  time.

7
Transmission of Bloodborne Pathogens

• Transmission of a bloodborne pathogen can occur
  any time that blood or certain other body fluids
  from an infected person enters the body of
  someone else through a break in the skin or
  mucous membrane, sexual contact, sharing of
  needles, or blood transfusions.
• Sweat, tears, saliva, vomit, urine, and feces are
  not considered to be potentially infectious
  unless visible blood is present.

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Universal Precautions

• Universal precautions are practices and
  procedures that help prevent the transmission of
  bloodborne pathogens.

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Using Universal Precautions

• All blood and body fluids should be treated as if
  they could be infectious.
• Following careful procedures can prevent
  exposures.
• Handwashing is the best way to prevent spreading
  infections.

10
Good Handwashing

• Wet hands thoroughly under warm or cold water.
• Dispense liquid soap into hands.
• Vigorously rub hands together for one minute,
  paying particular attention to the nails,
  cuticles, spaces between the fingers, and under
  jewelry.
• Rinse hands thoroughly.
• Dry hands with disposable towel.
• Use towel to turn off the water.
• Dispose of paper towel into a waste receptacle.

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Personal Protective Equipment (PPE)

• Disposable Gloves used for provision of first
  aid, or contact with any blood or other
  potentially infectious materials
• Every teacher and every school office employee
  has a supply of gloves bandaids leave a note
  in your nurses mailbox when you need more!
• Every school bus has a first aid kit and gloves
  notify your supervisor if you need more.
• Custodians and cafeteria staff have their own
  gloves that meet requirements for their areas and
  their jobs.

12
Additional Personal Protective Equipment (PPE)

• Every Automatic External Defibrillator (AED) in
  the school has an accessory pouch that includes
  gloves and a CPR mask.
• Sharps containers, red biohazard bags, utility
  gloves, goggles, aprons and gowns these are
  provided for certain areas with high risk for
  bloodborne exposure
• Ask your school nurse if you are concerned that
  you need something you dont have

13
Using Disposable Gloves

• Maintain a supply of disposable gloves in a
  readily accessible location.
• When giving first aid or wound care, always wear
  gloves.
• Students should clean their own wounds if
  possible.

• Slip each hand into a clean glove, pulling it
  snugly over the fingers to assure a good fit.
• Pull glove over the wrist as far as it will go to
  maximize coverage.
• Do not reuse gloves

14
Safe Removal of Gloves

• Remove gloves by turning the glove inside out as
  it is pulled over the hand. During the removal
  of the second glove, avoid touching the outer
  surface by slipping the fingers of the ungloved
  hand under the glove and pulling it inside out as
  it is pulled over the hand.
• Dispose of used gloves in a waste container lined
  with a plastic bag.
• Wash hands thoroughly following hand washing
  procedures.

15
Clean Ups

• Call custodian to clean up blood or body fluids
  on surfaces.
• Custodians will use germicidal cleaners which
  kill bloodborne pathogens.
• Items contaminated with blood should be disposed
  of in a plastic lined pail. If very large
  amounts of blood are present, biohazard disposal
  bags are used (available in the nurses office).

16
First Aid for Bloody Noses

• Have student pinch nostrils with tissue for at
  least 5-10 minutes
• Have student sit upright with their head leaning
  slightly forward (this is best done where and
  when the nose bleed is first noted)
• If assistance is needed, always put on gloves
  first
• Student and caregiver should always wash hands
  well when bleeding has stopped
• Seek nursing evaluation if the nose bleed lasts
  more than 5 minutes and does not resolve with
  above treatment.

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First Aid for Cuts and Scrapes

• Student should wash affected area with soap and
  water
• Those providing assistance should always wear
  gloves
• Contaminated clothing should be sealed in a
  plastic bag to be washed at home
• Contaminated surfaces should be cleaned and
  disinfected

18
First Aid for Human Bites

• Wash affected area right away with soap and water
• Seek evaluation by the school nurse
• Human bites that break the skin can transmit a
  bloodborne disease

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Exposure to Body Fluids

• Always wear gloves when coming in contact with
  body fluids
• Clean and disinfect contaminated surfaces and
  objects
• Contaminated materials should be double bagged
  and put into a plastic lined trash can.
  Materials containing large quantities of liquid
  blood should be placed in a biohazard red bag
  available in the nurses office

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Significant Exposure

• Any puncture of the skin by a sharp object such
  as a needle that contained blood or body fluids
• Mucous membranes of nose, mouth or eyes
  splattered with blood
• Exposure of broken/open skin with blood, saliva,
  urine or vomitus (e.g. bites)

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Post Exposure Protocol

• Wash exposed area immediately with soap and
  water.
• Report exposure to the principal and school nurse
• MCISD will arrange medical evaluation for any
  exposed employee. This will include any
  necessary immunizations or blood tests.

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Hepatitis B Vaccine

• Staff whose position puts them at increased risk
  for bloodborne pathogen exposure may request the
  HBV vaccine series.
• All MCISD students are required to be vaccinated
  against Hepatitis B (unless they obtain a
  religious or medical exemption).

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At Risk Staff per MCISD Bloodborne Pathogens
Policy

• Designated athletic coaches
• Designated building custodians
• Teachers/assistants working with students with or
  without identified disabilities/illnesses
• Staff designated to provide First Aid

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If you need Hepatitis B Vaccine because of your
job duties

• See the school nurse
• This is a once in a lifetime vaccine, requiring 3
  shots over 6 months
• All employees should consider adding their
  immunization record to the Adult Version of
  ImmTrac for safe keeping.

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Resources for More Information

• Your School Nurse, Rebecca Clark, RN, BSN
  940.203.0008
• Texas Department of Health (https//www.dshs.state
  .tx.us/)
• Centers for Disease Control and Prevention
  (http//www.cdc.gov/)

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Take the Test!

• Now you are ready to test your knowledge and
  take the MCISD Bloodborne Pathogens Training Test!

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True or False

• ____ 1. Bloodborne pathogens are germs that are
  found in the bloodstream and can cause
• disease in humans.

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True or False

• 2. Common bloodborne diseases include Hepatitis
  B, Hepatitis C and HIV (AIDS).

29
True or False

• ____ 3. There are vaccines available to prevent
  Hepatitis C and HIV.

30
True or False

• ____ 4. Universal precautions are practices and
  procedures that help prevent the transmission of
  bloodborne pathogens.

31
True or False

• ____ 5. Bloodborne pathogens are only found in
  blood and not other body fluids.

32
True or False

• ____ 6. Handwashing is the best way to prevent
  the spread of infections.

33
True or False

• ____ 7. Disposable gloves should be used when
  providing first aid or when coming in contact
  with any blood or other potentially infectious
  materials.

34
True or False

• ____ 8. If a child has a bloody nose, the most
  important first step in treating them is to get
  them to the nurses health office as soon as
  possible.

35
True or False

• ____9. Blood and body fluid spills should be
  cleaned and disinfected by the custodian.

36
True or False

• ___ 10. The MCISD Bloodborne Pathogens Exposure
  Control Plan is available in every school office
  and school health office.

37
True or False

• ___ 11. You only need to wash your hands after
  wearing gloves when providing first aid if there
  was a tear or break in the glove.

38
True or False

• ____12. Students should be encouraged to wash
  their own wounds with soap and water.

39
True or False

• ___ 13. When exposed to a potentially infectious
  body fluid, employees should only report the
  incident if they are concerned.

40
True or False

• ____ 14. Any staff member whose position puts
  them at increased risk for bloodborne pathogen
  exposure may request the Hepatitis B vaccine
  series.

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Last One!! True or False

• ____ 15. Human bites that break the skin and
  cause bleeding can transmit a bloodborne
  pathogen.

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One last thing

• Fill out post test and sign the form.
• If you have any questions contact Mrs. Clark, RN,
  BSN.
• Leave form in her box, not on her desk please.
• ,